BENJAMIN BRENDAN PETICCA MD
NPI 1114729480
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA
About Benjamin Brendan Peticca Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN BRENDAN PETICCA MD (NPI 1114729480) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benjamin Brendan Peticca Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PITTSBURGH, PA 15213
PITTSBURGH, PA 15213
PITTSBURGH, PA 15213
PITTSBURGH, PA 15213
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Benjamin Peticca's NPI number?
The NPI number for Benjamin Peticca is 1114729480. It was assigned to this individual provider in the NPPES registry on March 26, 2025.
Where is Benjamin Peticca located?
Benjamin Peticca practices at 200 Lothrop St, Pittsburgh, PA 15213. The listed phone number is (412) 647-2345.
What is Benjamin Peticca's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Benjamin Peticca enrolled in Medicare?
Yes. Benjamin Peticca is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Benjamin Peticca was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Benjamin Brendan Peticca, MD · NPI 1114729480
Student in an Organized Health Care Education/Training Program provider in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 26, 2025.
## Identity
- **NPI:** 1114729480 (Entity type: Individual)
- **Enumerated:** March 26, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 200 LOTHROP ST, Pittsburgh, PA 15213-2536
- **Phone:** (412) 647-2345
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114729480) · Data from the CMS NPPES public registry.